Acne FAQ

Would using my medication more frequently than prescribed speed up the clearing of my acne?

No. Always use your medication exactly as your dermatologist instructed. Using topical medications more often than prescribed may actually induce more irritation of the skin, redness and follicular plugging, which can delay clearing time. If oral medications are taken more frequently than prescribed, they won’t work any better, but there is a greater chance of side effects.

My topical treatment seems to work on the spots I treat, but I keep getting new acne blemishes. What should I do?

Topical acne medications are made to be used on all acne-prone areas, not just individual lesions. Part of the goal is to treat the skin before lesions can form and to prevent formation, not just to treat existing lesions. Patients are generally advised to treat all of the areas (forehead, cheeks, chin and nose) that tend to break out rather than just individual lesions.

My face is clear! Can I stop taking my medication now?

If your dermatologist says you can stop, then stop–but follow your dermatologist’s instructions. Many times patients will stop their medication suddenly only to have their acne flare up several weeks later. If you are using multiple products, it may be advisable to discontinue one medication at a time and judge results before discontinuing them all at once. Ask your dermatologist before you stop using any of your medications. Continue reading “Acne FAQ”

Acne Q & A Part I

What role does diet play in acne?

Acne is not caused by food. Following a strict diet will not clear your skin. While some people feel that their acne is aggravated by certain foods, particularly chocolate, colas, peanuts, shellfish and some fatty foods, there is no scientific evidence that suggests food causes or influences acne. Avoid any foods which seem to worsen your acne and, for your overall health, eat a balanced diet–but diet shouldn’t really matter if the acne is being appropriately treated.

Does the sun help acne?

Many patients feel that sunlight improves their acne lesions and go to great lengths to find sources of ultraviolet light. There is no proven effect of sunlight on acne. In addition, ultraviolet light in sunlight increases the risk of skin cancer and early aging of the skin. It is, therefore, not a recommended technique of acne management, especially since there are many other proven forms of treatment for acne. Moreover, many acne treatments increase the skin’s sensitivity to ultraviolet light, making the risk of ultraviolet light exposure all the worse.

What is the best way to treat acne?

Everyone’s acne must be treated individually. If you have not gotten good results from the acne products you have tried, consider seeing a dermatologist. Your dermatologist will decide which treatments are best for you. Generally, 2% salicylic acid cleansers and benzoyl peroxide gels are a good start. Continue reading “Acne Q & A Part I”

Causes of Acne

What causes acne?The causes of acne are linked to the changes that take place as young people mature from childhood to adolescence (puberty). The hormones that cause physical maturation also cause the sebaceous (oil) glands of the skin to produce more sebum (oil). The hormones with the greatest effect on sebaceous glands are androgens (male hormones), which are present in females as well as males, but in higher amounts in males.

Sebaceous glands are found together with a hair shaft in a unit called a sebaceous follicle. During puberty, the cells of the skin that line the follicle begin to shed more rapidly. In people who develop acne, cells shed and stick together more so than in people who do not develop acne. When cells mix with the increased amount of sebum being produced, they can plug the opening of the follicle. Meanwhile, the sebaceous glands continue to produce sebum, and the follicle swells up with sebum.
In addition, a normal skin bacteria called P. acnes, begins to multiply rapidly in the clogged hair follicle. In the process, these bacteria produce irritating substances that can cause inflammation. Sometimes, the wall of the follicle bursts, spreading inflammation to the surrounding skin. This is the process by which acne lesions, from blackheads to pimples to nodules, are formed. Continue reading “Causes of Acne”

Acne Myths

Acne Myths

Myth #1: Acne is caused by poor hygiene. If you believe this myth, and wash your skin hard and frequently, you can actually make your acne worse. Acne is not caused by dirt or surface skin oils. Although excess oils, dead skin and a day’s accumulation of dust on the skin looks unsightly, they should not be removed by hand scrubbing. Vigorous washing and scrubbing will actually irritate the skin and make acne worse. The best approach to hygiene and acne: Gently wash your face twice a day with a mild soap, pat dry–and use an appropriate acne treatment for the acne.

Myth #2: Acne is caused by diet. Extensive scientific studies have not found a connection between diet and acne. In other words, food does not cause acne. Not chocolate. Not french fries. Not pizza. Nonetheless, some people insist that certain foods affect their acne. In that case, avoid those foods. Besides, eating a balanced diet always makes sense. However, according to the scientific evidence, if acne is being treated properly, there’s no need to worry about food affecting the acne.

Myth #3: Acne is caused by stress. The ordinary stress of day-to-day living is not an important factor in acne. Severe stress that needs medical attention is sometimes treated with drugs that can cause acne as a side effect. If you think you may have acne related to a drug prescribed for stress or depression, you should consult your physician. Continue reading “Acne Myths”

The Social Impact of Acne

“There is no single disease which causes more psychic trauma, more maladjustment between parents and children, more general insecurity and feelings of inferiority and greater sums of psychic suffering than does acne vulgaris.” –Sulzberger & Zaldems, 1948

While known for quite some time, the psychosocial effects of acne have not been fully appreciated until recently. The reasons for this are many. After all, everyone gets acne to one degree or another. In most cases, it goes away on its own. While it’s running its course, it is not a serious threat to anyone’s overall physical health. In addition, until the last couple of decades, there was very little anyone could do to treat it.

Acne, nonetheless, has a significant impact on a person’s outlook on life. Recent studies have detected the following as common among people with acne:

Social withdrawal
Decreased self-esteem
Reduced self-confidence
Poor body image
Embarrassment
Feelings of depression
Anger
Preoccupation
Frustration
Higher rate of unemployment
Continue reading “The Social Impact of Acne”